JANELLA JACKSON RN – NPI #1215561865
In Home Supportive Care

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

JANELLA JACKSON is an in-home supportive care agency located in NORTH MYRTLE BEACH, SC. NPPES has assigned the NPI number 1215561865 to JANELLA JACKSON on February 22, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 253Z00000X from the Health Care Provider Taxonomy code set, which is classified as In Home Supportive Care.

The NPI profile was previously updated about 6 years ago on Aug 20, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JANELLA JACKSON below.

NPI Profile for
JANELLA JACKSON

NPI Number
1215561865
Enumeration Date

(more than 6 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JANELLA JACKSON
Credentials
RN
Primary location
NORTH MYRTLE BEACH BUSINESS CENTER SUITE 115
1019 HWY 17S
NORTH MYRTLE BEACH, SC 29582
Phone: (843) 273-5022 Fax: (843) 273-5022
Mailing address
NMB BUSINESS CENTER 1019 HWY 17S SUITE 115
NORTH MYRTLE BEACH, SC 29582
Phone: (843) 273-5022 Fax: (843) 273-5022
Sole Proprietor
Yes
Updated
Certification Date
Aug 20, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
253Z00000X
- In Home Supportive Care (Primary)
SC ICPH-1221

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.